Nutrition

Dr Bisiwe provides comprehensive services to support the overall health and well-being of children from the moment they are born through young adulthood. By providing weight and nutrition counselling and management, we can help children reach and maintain a healthy weight.

As a paediatrician, Dr Bisiwe wants to help you and your child achieve optimum health. The first step he takes for success is understanding your child and what is important to them. His approach involves looking at nutrition in a different light, getting to know the life you and your child live, and creating a solution that is easy and paved with successes.

Nutritional areas of interest include:

  • Failure to Thrive/Lack of Weight or Height Growth
  • Inherited skin diseases.
  • Picky Eaters
  • Special Diets
  • Food Allergies & Intolerances
  • Celiac Disease
  • Eosinophilic Esophagitis
  • Inflammatory Bowel Disease
  • Irritable Bowel Disease
  • Stages of Feeding by Age
  • Enteral (Tube) Feeding
  • Maternal Nutrition
  • Lactation Nutrition
  • Disordered Eating

Obesity

For children, being overweight can be especially difficult. In addition to increasing their risk for obesity-related complications such as cardiovascular disease, type 2 diabetes, certain types of cancer, and orthopaedic issues, being overweight as a child can also affect emotional well-being and social development.

The truth is both genetic and non-genetic factors can influence a child’s weight. However, regardless of what the reason for being overweight may be, an effective weight management plan requires the involvement of the parents and the child and includes the following:

  • A complete medical assessment
  • Nutritional Counseling and diet planning
  • An increase in healthy physical activity
  • Behavioural counselling to promote lifestyle changes

As a skilled and compassionate provider of care, Dr Bisiwe will develop a comprehensive and supportive nutrition and weight management plan to address a child’s specific needs. By providing a holistic and compassionate approach to weight management as well as regularly monitoring your child’s progress, he can help your child reach and maintain a healthy weight.

Failure to thrive

Growth failure; Feeding disorder; Poor feeding

Failure to thrive refers to children whose current weight or rate of weight gain is much lower than that of other children of similar age and gender.

Causes

Failure to thrive may be caused by medical problems or factors in the child's environment, such as abuse or neglect. There are many medical causes of failure to thrive. These include:

  • Problems with genes, such as Down syndrome
  • Organ problems
  • Hormone problems
  • Damage to the brain or central nervous system, which may cause feeding difficulties in an infant
  • Heart or lung problems, which can affect how nutrients move through the body
  • Anaemia or other blood disorders
  • Gastrointestinal problems that make it hard to absorb nutrients or cause a lack of digestive enzymes
  • Long-term (chronic) infections
  • Metabolism problems
  • Problems during pregnancy or low birth weight

Factors in the child's environment include:

  • Loss of emotional bond between parent and child
  • Poverty
  • Problems with child-caregiver relationship
  • Parents do not understand the appropriate diet needs for their child
  • Exposure to infections, parasites, or toxins
  • Poor eating habits, such as eating in front of the television and not having formal meal times

Many times, the cause cannot be determined.